ASFOUR DENTAL INC NPI 1295988202

NPI Information

NPI: 1295988202
Provider Name: ASFOUR DENTAL INC

Doing Business As: ORLAND ADVANCED DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11315 W 143RD ST
ORLAND PARK, IL
ZIP 60467
Phone: (708) 364-0900
Get Directions

ASFOUR DENTAL INC is a general practice dentist in Orland Park, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ASFOUR DENTAL INC NPI is 1295988202. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Orland Advanced Dentistry.

The provider's business location address is:

11315 W 143RD ST
ORLAND PARK, IL
ZIP 60467-221
Phone: (708) 364-0900
Fax: (708) 364-0909

The provider's authorized official is Sawsan Asfour .
The authorized official title is Doctor/owner and has the following contact phone number (708) 364-0900.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 11/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019024297	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019026013/920038	MEDICAID	ILLINOIS
2	019024297/1001093	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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